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Individual
STACY ELAINE KAREM
Active
Individual
STACY ELAINE KAREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3016724
KY
363LF0000X
Family Nurse Practitioner
3016724
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122620036
IN MEDICARE
IN
05
—
300073053
—
IN
05
—
7100837860
—
KY
01
—
K206441
KY MEDICARE
KY
Enumeration date
06/29/2022
Last updated
10/23/2023
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